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Health and Welfare for Families in the 21st Century, Second Edition

Author(s): Helen M. Wallace, MD, MPH, San Diego State University, San Diego, California
Gordon Green, MD, MPH, Southwestern Medical Center at Dallas, Dallas, Texas
Kenneth Jaros, MSW, PhD, University of Pittsburgh, Pittsburgh, Pennsylvania
  • ISBN-13: 9780763718596
  • ISBN-10:0763718599
  • Paperback    586 pages      © 2003
Price: $197.95 US List
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2003 AJN Book of the Year Award Winner!


In this completely revised and updated Second Edition of Health and Welfare for Families in the 21st Century, leaders in the maternal and child health field analyze the revolutionizing effect of changes occurring today in the social, educational, political, and economic aspects of family health care.


This authoritative collection of readings provides a basic overview of the health and social welfare systems, and the policy and insurance infrastructure surrounding those systems. In this edition a major emphasis is placed on the effect of managed care on these systems and the effect of new legislation on families and children. A variety of public health topics are also addressed, with a focus on present and emerging challenges, including suggested strategies for the future.


This vitally important new book is for students and educators in graduate schools of public health, nursing, social work, nutrition, allied health, medicine, and health policy professionals in health or political professions.

Features & Benefits

Each unit of the book can be used independently as it relates to course content, or can be combined for a more comprehensive, interdisciplinary approach to health and welfare issues.

New to this Edition!

Contains extensive new material on welfare reform and women's health.

This edition contains updated information in chapters written by authoritative, nationally-recognized leaders who are active in their fields.

Unit 1:  Foundations
Article 1 – Health and Social Care of Women, Children, Youth and Families
Peter C. van Dyck, MD, MPH and Michael D. Kogen, PhD
Article 2 – Health Care and Health Care Policy in a Changing World
Donald A. Barr, Philip R. Lee, and A. E. Benjamin
Article 3 – The Maternal and Child Health Leadership Institute: Putting the Health for All Framework into Action
Barbara J. Hatcher, PhD, MPH, RN
Article 4 – Demographic Factors Affecting Fertility Patterns in the United States
Stephanie J. Ventura, MA
Article 5 – The American Family: Changes and Challenges for the 21st Century
Sandra L. Hofferth
Article 6 – Nutrition Issues for Mothers, Children, Youth and Family
Jamie Stang, PhD, MPH, RD and Mary Story, PhD, RD
Article 7 – Integrating the Roles of Health Surveillance, Performance Monitoring and Systems Evaluation
Donna J. Petersen, MHS, ScD and Greg R. Alexander, MPH, ScD


Unit 2: Social Welfare
Article 1 – Combating Family Poverty: A Review of the American Welfare System
Sandra Wexler, PhD, ACSW
Article 2 – Did Welfare Reform Work? Implications for 2002 and Beyond
Sandra Hofferth
Article 3 – The Effects of Welfare Reform on the Reproductive Health of Women
Arden Handler, Meagan Zimbeck, Wendy Chavkin, and Kathleen Adams
Article 4 – The Social Security Act and Maternal and Child Health Services: Securing a Bright Future
Woodie Kessel, Kenneth Jaros, and P. Travis Harkerl
Article 5 – Head Start
Anne Cohn Donnelly and Frederick Green
Article 6 – Child Care
Robert C. Fellmeth
Article 7 – Community-Based Coalitions: The Health Start Initiative
David S. de la Cruz, PhD, MPH and Maribeth Badura, MSN, RN
Article 8 – Children in Foster Care: Challenges in Meeting Their Health Care Needs Through Medicaid
Margo Rosenbach, Kimball Lewis, and Brian Quinn


Unit 3: Health Expenditures and Health Insurance
Article 1 – Inflation Spurs Health Spending In 2000
Katharine Levit, Cynthia Smith, Cathy Cowan, Helen Lazenby, and Anne Martin
Article 2 – Health Insurance of Children and Youth
Yun Yi Hung, PhD, MPH, et al.
Article 3 – The State Children’s Health Insurance Program: A Progress Report
Shelly Gehshan, MPP
Article 4 – The Supplemental Security Income Program for Children
John Reiss, Helen M. Wallace, and Merle McPherson
Article 5 – Managed Care and Children
Dana Hughes, DrPH and Sarah Arzaga
Article 6 – Adolescent Health
Donald E. Greydanus, MD


Unit 4: Health Issues
Article 1 – Women’s Health Care
Mary Brucker
Article 2 – Women’s Health Care: Issues and Challenges
Mary Brucker
Article 3 – Childhood Immunizations
Lance E. Rodewald, MD and Jeanne M. Santoli, MD, MPH
Article 4 – Oral Health in Maternal and Child Health
Paul S. Casamassimo, DDS, MS
Article 5 – Emergency Medical Services and Children: A Growing Concern
David Heppel, MD
Article 6 – The Progress and Potential of Injury Prevention
Allen Bolton, MPH, MBA et al.
Article 7 – Attention Deficit Hyperactivity Disorder
Laurel K. Leslie, MD and Martin T. Stein, MD
Article 8 – The Epidemiology of HIV and AIDS in the United States
Laurie D. Elam-Evans, PhD, MPH, Norma S. Harris, PhD, MSPH, and Hazel D. Dean, ScD, MPH
Article 9 – Sexually Transmitted Diseases in the United States
Kimberley Fox, MD, MPH
Article 10 – Child Abuse and Neglect
Patti R. Rosquist, MD and Richard D. Krugman, MD
Article 11 – Homeless Women and Their Children in the 21st Century
Peter Sherman, MD and Irwin Redlener, MD
Article 12 – Ensuring Substance Abuse Services for Families
Ellen Hutchins, ScD, MSW
Article 13 – Infant Mortality in the United States: Levels, Trends and Interventions
Marian F. MacDorman, PhD, Solomon Iyasu, MBBS, MPH, and T.J. Mathews, MS


Unit 5:  Policy Issues

Article 1 – Prevention for Health
Solomon Iyasu, MBBS, MPH and Hani K. Atrash, MD, MPH
Article 2 – Maternal and Child Health: Back to the Future
Karen VanLandeghem and Catherine A. Hess
Article 3 – Social Policy Reform and America’s Cities: Risk and Opportunity for Maternal and Child Health
Magda G. Peck, ScD and Debora Barnes-Josiah, PhD
Article 4 – Steps for the Future
Naomi M. Morris, MD, MPH



Helen M. Wallace, MD, MPH-San Diego State University, San Diego, California

Gordon Green, MD, MPH-Southwestern Medical Center at Dallas, Dallas, Texas

Kenneth Jaros, MSW, PhD-University of Pittsburgh, Pittsburgh, Pennsylvania

  • Weighted Numerical Score: 92 - 4 Stars!

    This is an excellent collection of 38 articles that cover five major areas of maternal-child health (MCH) issues with appropriate references to the health conditions of the general population and with some international comparisons. These are foundations; social welfare; health expenditures and health insurance; health issues; and policy issues. Weaving a formidable mix of facts, figures, legislation and historical events, the authors provide the reader with an in-depth treatment of the subject matter. Examples cover the range from the public health triumphs achieved since 1900, that included a record increase in life expectancy and a record improvement in maternal mortality, to the decline of the U.S.'s international ranking in infant mortality, which has fallen from 11th lowest in 1960 to 27th lowest in 1997, and the record increase in homeless women and their children. Different articles show that despite impressive progress in many areas, more is needed to be done. After reviewing the maternal-child health policies and practices in a manner that shows the relevancy of their background to the unique characteristics of the American political system, culture, demographics, and value system, the book examines the priorities and research implications and challenges facing MCH in the 21st century. It predicts that programmatic priorities will expand and that "the implications of gene research will extend far into the 21st century and will affect health overall and maternal and child health in particular." The illustrations are superb and the short glossary at the end of the book is useful. While I recommend reading every article in this edited book, I particularly advise reading the one titled, "Health Care and Health Care Policy in a Changing World" first. It provides an understanding of the healthcare system through an examination of the society in which the system exists.

    This second edition is must reading for leaders and potential leaders in the diverse area of maternal, child and family health, in particular, and in the health field in general. It contains a wealth of data, thoughtful analysis of past experiences, assessment of the present, and the tools to chart future actions.

    —Amer M. El-Ahraf, Dr.P.H., REHS
    California State University Dominguez Hills
    Review for Doody Enterprises

    "In clear, well-documented terms, this new edition of Health and Welfare for Families in the 21st Century provides the essentials information that is needed to make informed judgements about how best we can meet the needs of families and children in the 21st century."

    Phillip Lee, MD

    Praise for the first edition of Health and Welfare for Families in the 21st Century:

    "4 Stars!--This book is the best of the overview books produced by Wallace and her colleagues. It nicely integrates health and welfare policy and is able to present current issues within an historical and analytic framework. Practitioners and academics alike will find it a very handy reference in their efforts to develop and implement programs and policies to meet the needs of women, children, and families in the 21st century."

    —Arden Handler, DrPH
    University of Illinois at Chicago,
    Doody Publishing

    "In fact, I had difficulty completing this review in a timely fashion because colleagues continually borrowed the book! This book should be mandatory reading for all students in public health training programs. It should also be read by physicians, nurses, and allied health professionals working in or training for careers in settings in which the poor or disadvantaged receive health care services, regardless of whether they provide general or specialized services. Helen Wallace and her colleagues are to be commended, once again, for a job well done!"

    Russell S. Kirby, PhD, MS, FACE
    Milwaukee Clinical Campus
    University of Wisconsin Medical School

    "The text belongs in graduate classrooms and will be an important reference for health professionals wishing to use the political and policy systems to make changes for the better in services for vulnerable populations of women and children. The extensive bibliographies in most of the chapters, a glossary of important terms, and the index are helpful adjuncts for understanding the content in this text."

    —Joyce Beebe Thompson, CNM, DrPH, FAAN, FACNM
    Western Michigan University
    Journal of Midwifery and Women's Health

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